Organization
PEDRO T. SALCEDO, M.D.,PLC
Active
Organization
PEDRO T. SALCEDO, M.D.,PLC
Active
Parent organization
PEDRO T. SALCEDO,M.D.,PLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDRO T. SALCEDO,M.D.,PLC
Authorized official
MARISSA PULANCO SALCEDO (OFFICE MANAGER)
(931) 906-8818
Entity
Organization
Contact information
Practice address
311 LANDRUM PL, SUITE 200, CLARKSVILLE, TN 37043-6319
(931) 906-8818
(931) 906-8898
Mailing address
PO BOX 3749, CLARKSVILLE, TN 37043-3749
(931) 906-8818
(931) 906-8898
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
MD28194
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3802904
—
TN
Enumeration date
07/31/2015
Last updated
07/31/2015
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